论文部分内容阅读
目的探讨冠修复与根管治疗隐裂牙牙髓病的临床疗效。方法 80例隐裂牙牙髓病患者随机分为对照组(n=40)与观察组(n=40),患牙分别为40颗与44颗。对照组采用保守治疗方法 ,观察组采用冠修复与根管治疗联合治疗。比较两组临床疗效及治疗后疼痛情况。结果对照组临床总有效率为72.50%,显著低于观察组(93.18%),差异具有统计学意义(P<0.05);对照组1级、2级、3级及4级疼痛颗数分别为15颗、17颗、5颗及3颗,疼痛反应发生率为20.00%(8/40);观察组1级、2级、3级及4级疼痛颗数分别为21颗、21颗、2颗及0颗,疼痛反应发生率为4.55%(2/44),两组疼痛反应发生率差异具有统计学意义(P<0.05)。结论冠修复与根管同步治疗隐裂牙牙髓病,疗效显著,患者治疗后疼痛反应发生率低,应在临床上进行推广及应用。
Objective To investigate the clinical effects of crown restoration and root canal treatment of fractured pulp dental pulp disease. Methods Totally 80 patients with tooth-fractured tooth pulp disease were randomly divided into control group (n = 40) and observation group (n = 40), with 40 and 44 teeth, respectively. The control group with conservative treatment, the observation group with crown repair and root canal therapy combined treatment. The clinical efficacy and post-treatment pain were compared between the two groups. Results The total effective rate of the control group was 72.50%, which was significantly lower than that of the observation group (93.18%), the difference was statistically significant (P <0.05). The pain scores of the first, second, third and fourth grade in the control group were 15, 17, 5 and 3 respectively. The incidence of pain reaction was 20.00% (8/40). The pain scores of grade 1, grade 2, grade 3 and grade 4 in the observation group were 21, 21 and 2 respectively The incidence of pain reaction was 4.55% (2/44). The difference of pain reaction rate between the two groups was statistically significant (P <0.05). Conclusions The crown and root canal simultaneous treatment of fractured tooth endodontic disease, significant effect, the incidence of postoperative pain response in patients with low, it should be clinically promoted and applied.